| NPI | 1306068259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004884l) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SA20018) |
| 222Q00000X Developmental Therapist (Licence: FL SA20018) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA20018) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-01-17 |